Alternative therapies in Laos

During their period of colonization, the French regarded traditional Lao therapies as quaint and amusing, and this attitude was passed on to the Lao elite who studied in France. In an essay about traditional Lao medicine written in the 1950s by a former Minister of Health, the traditional Lao doctor is repeatedly referred to as “the quack”. But renewed interest, partially fuelled by a similar rekindling of enthusiasm in neighbouring China, has seen a resurgence of confidence in traditional techniques.

Tourism has been partially responsible for renewed interest in traditional massage and herbal sauna, though these alternative therapies are generally limited to larger towns and cities. Besides the obvious physical benefits the Lao massage and sauna afford the recipient, administering massage and sauna to others is believed to bring spiritual merit to those who perform the labour, making Lao massage and sauna a win-win proposition for all involved.

Lao massage

Lao massage owes more to Chinese than to Thai schools, utilizing medicated balms and salves which are rubbed into the skin. Muscles are kneaded and joints are flexed while a warm compress of steeped herbs is applied to the area being treated. Besides massage, Lao doctors may utilize other “exotic” treatments that have been borrowed from neighbouring countries. One decidedly Chinese therapy that is sometimes employed in Laos is acupuncture (fang khem), in which long, thin needles are inserted into special points that correspond to specific organs or parts of the body. Another imported practice is the application of suction cups (kaew dut), a remedy popular in neighbouring Cambodia. Small glass jars are briefly heated with a flame and applied to bare skin; air within the cup contracts as it cools, drawing blood under the skin into the mouth of the cup. Theoretically, toxins within the bloodstream are in this way brought to the surface of the skin.

Lao herbal saunas

Before getting a massage, many Lao opt for some time in the herbal sauna. This usually consists of a rustic wooden shack divided into separate rooms for men and women; beneath the shack a drum of water sits on a wood fire. Medicinal herbs boiling in the drum release their juices into the water and the resulting steam is carried up into the rooms. The temperature inside is normally quite high and bathers should spend no more than fifteen minutes at a time in the sauna, taking frequent breaks to cool off by lounging outside and sipping herbal tea to replace water that the body so profusely sweats out. The recipes of both the saunas and teas are jealously guarded but are known to contain such herbal additives as carambola, tamarind, eucalyptus and citrus leaves.